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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />. � � - . <br />,� <br />.;� � � i. - V� � ^ � ' <br />PROJECT ADDRESS <br /><<�., . y/L. �GS't'; <br />, C'�.'S <br />. - % `,``;�`•,� _ j �'/ S 'v �'J�'r" N'-" � �;s�;j'�, a:.l�J iY - <br />��,-��, "� �� <br />Owner <br />Mail Address City Slate2lp Phone <br />,.L� _ " �'�. �� <br />Tenenl Meil AtlEress <br />,� � v • <br />4 <br />ElectnGal ConlfaClor Mail Address <br />Stale license Number <br />� <br />� )� .ti �_ `-- <br />, `..; � . <br />Proposed Use of Building <br />C2y <br />C�ty <br />State2lp <br />StatelLp <br />Comract Pdce ol Work <br />Conlad Person (Plan Review) <br />Phone <br />Phone <br />�7 -:/ . „ i,,. i7, /.�'��/ <br />Descnpti±n of'Nork to Be Done: �(-' . � �' �J � � ��. . � � 1' .� � C �� i t -C �'� . � <br />`� <br />; n.,:�� �. ��'%1— <br />NOTE: WIRING IN NON-DWEILINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABI_E. <br />FEE <br />CITY OF EVERETT LOCAL SAlES TAX CODE IS 5706 <br />I horeby certily fhat 1 have iead and examinetl tliis application anA Fnow fhe same lo Ga true antl <br />conect. All pravisions ollaws enA ordinances govemmg fhis ty{x o/�wrk will Ge completed <br />whefh?r specificd he�ein or nof. Tlie granting ol a pemuf does not presurne fo givc Quthanty to <br />violate or cancel thepru visions of any othei sfafe or local law rogulating conslrudion or fhe <br />peAonnance ol construcfion. That l am aurhonzetl by the owner al this properfy to pe�lam fhe <br />work !or whicb epplication is mad� anA I comply wAh the Slale Conlradors Law 78.27 RCW antl <br />296.200 WAC. <br />� <br />� <br />-��- O_S <br />��Z�_)-Cv� <br />